Path of Medicine With a System

Preparations for the operation were quick. Huaguo is one of the few countries whose finances can advance medical expenses. No matter what, the country is really moving forward, developing, and improving. Now there are relatively fewer hospital evasions.

In the early years, when township hospitals were still able to perform cesarean operations, and when county hospitals were still very effective, many people without money left their sick family members or children in the hospital and left! This is the cunning of small citizens, the helpless cunning, because they have no money.

Then, the township hospital or county hospital gave treatment directly, and took care of the food! After the patient is cured, the family members of the patient will come. Bring wheat or flour to cover the fee! This kind of thing is not an exception, it is very many.

Now, once this phenomenon occurs, the doctor's first consideration is not treatment, but whether someone will come to make trouble. It doesn't matter if it is cured, but it can't be cured? Who dares to reach out!

Then, as people have flocked to the cities in recent years, the farms have shrunk, and the township hospitals are like deserted temples. There are not many people in the lonely buildings! Medical accidents have been greatly reduced, but this unit has also become an inflamed appendix, and it's time to cut it off!

Lao Yang, a widowed old man who is not even considered a temporary sanitation worker, entered the operating room with several steel rods stuck in his stomach. Like wings, swaying with the fat in Lao Yang's abdomen.

Once he entered the operating room, Zhang Fan's expression immediately changed. Normally, he always smiles, and when he sees everyone, he laughs first and then talks. It is a bit of a humble smile. He has been used to it since he was a child. Change.

But this is also beneficial. Zhang Fan's smile made the patients he treated very satisfied with Zhang Fan, "Dr. Zhang is not only good at medical skills, but also polite! He always smiles. It makes people feel warm!"

But as soon as he entered the operating room, the smile on his face disappeared. Although he was wearing a blue disposable mask, his sharp eyes were no longer the person who would laugh at everyone. At this time, Zhang Fan was a man who wanted to kill General, hold the knife with light, and return only when you see blood!

"Speed ​​up the blood transfusion! Give cardiotonic drugs, correct acidosis, open three channels, dilate blood vessels, see urine potassium supplement!" Now Zhang Fan is really awesome, every sentence of the doctor's order, only his voice in the operating room.

Lao Gao from the orthopedics department and Lao Li on the outside of his chest held their hands and stood quietly opposite Zhang Fan, waiting for orders! The anesthesiologist and the nurse quickly followed Zhang Fan's doctor's orders.

An anesthetist, a special doctor inside a hospital. In the early years, anesthesiologists were all clinically educated. Only later did the Department of Anesthesiology and professional anesthesiologists become available. In the chain of contempt in hospitals, physicians look down on surgeons, and physicians think surgeons are too rough and don't understand anything, so they will cut!

Surgeons look down on anesthesiologists, "They don't understand anything, they just play with a painkiller!"

On the operating table, the anesthesiologist and the surgeon are in a cooperative relationship, not a subsidiary relationship, so the general surgeon cannot command the anesthetist.

But in the city hospital, Zhang Fan was a special case. His technology was so powerful that he was already on the verge of being crushed. Moreover, in the operating room, Zhang Fan was too difficult to deal with. He had a frosty face and a vicious air!

When he gave the doctor's order, the anesthetist didn't have the courage to refute. The record, Zhang Fan's record is too impressive, not to mention the general anesthesiologist, even the director of the anesthesiology department is respectful to Zhang Fan on the operating table. What he respected was Zhang Fan's technique, and what he respected was Zhang Fan's level! This is the technical unit!

"Doctor Zhang, the operation can start, the patient's vital signs can support the operation now!" the anesthesiologist reported to Zhang Fan. The disease is critical, and the anesthetist has to be cautious. For general operations, after the anesthetist finishes anesthesia, the anesthetist usually says one sentence, two words, let's do it! Then I started to write anesthesia records myself, it would definitely not be as formal as it is now!

"Disinfection!" Zhang Fan didn't talk nonsense, just a word of disinfection, the main treatment outside the chest began to be disinfected!

Lao Yang is too thin, the fat layer on the abdominal wall is very thin,

Use a round knife to gently pull away the skin, the fat layer, the yellow fat layer is very thin, almost not the top layer! There is no need to pull it with the abdominal retractor, and the small retractor will do it.

Fat people, especially female obese patients, undergoing abdominal surgery is a nightmare for doctors. Surgical incisions are exquisite, and the abdominal cavity is not directly opened with a single knife.

Surgical incisions are made layer by layer, gradually, the skin is cut, the bleeding is satisfied, and then the fat layer is peeled off. There are blood vessels in the fat layer, which also need to stop bleeding, and then reach the muscle layer. If the muscle layer is not needed The separation is all blunt separation. In layman's terms, it is to use the handle of a knife or fingers to open a hole along the texture of this muscle! Then there is the peritoneum.

It is like peeling an onion, peeling layer by layer. If it is two knives, one knife will go straight to the abdomen. Not to mention the danger, the postoperative is also a very serious sequelae.

For patients with a thick abdominal fat layer, doctors really have a headache. An obese female patient, when the skin was cut, the plump yellow fat burst open the incision, and the fat flowed out like yellow peach-flavored jelly!

This is nothing, the most difficult thing is the thickness of this fat, five centimeters thick is nothing, the small retractor can't be used directly, and the abdomen must be retracted.

At that time, a gynecologist transferred to a doctor who performed a caesarean section. When the final suture was completed, he voluntarily asked for suture. The result was that the patient's fat layer was thick and slippery. The fat is oil, which is a good melting lubricant.

As a result, accidentally, the suture needle fell from the needle holder into the fat! Then, in just a few seconds, with the slight tremor of the muscle, the suture needle was swimming in the fat layer and couldn't find it! The teacher's face turned pale from fright!

The three of them were all masters, and the operation was carried out very quickly. When the abdomen was opened, Lao Li, who was well-informed, almost vomited. After the steel rod was inserted into the stomach, it was inserted directly into the intestinal tract. Both the small intestine and the large intestine were pierced.

The evolution of the human body is very scientific. From the top to the bottom of the digestive tract, every node has a door. How to put it, the junction of the esophagus and the stomach is a spout door. This door prevents stomach acid from entering the esophagus. There is a pylorus in the small intestine, and there is also a door from the small intestine to the large intestine. So it's impossible to spray manure with your mouth full!

The contents of the small intestine are chylus-like food waiting to be digested, while the contents of the large intestine are feces. After the steel stick punctured the intestinal wall, the contents of the large and small intestine flowed out.

The green ones are leek leaves that are not easy to digest, the leek leaves after chewing, dots of stars covered the abdominal cavity, and then they were yellowed by the feces in the large intestine, just like egg yolks on the leeks, covering the abdominal cavity! The sour smell is coming!

"It seems that the scrambled eggs with leeks that I ate at night!" Lao Li said after suppressing the nausea that surged up.

"It's not an egg. The egg is not so mushy. It should be the feces on the leeks!" Lao Gao felt bad too!

Talking can reduce this disgusting feeling. Although there is no scientific basis, when you see a very disgusting thing, try to talk and describe the disgusting thing in front of you, and you will never spit it out. The doctor mastered this skill with great proficiency!

The sour, fermented smell is like old rotten tofu covered with hairs, which is too unpleasant. The itinerant nurse was dismissed immediately, "Uh! Uh! Uh!" Like a pregnant woman, hiccups kept coming, and within three minutes of running out, the head nurse came!

"Hey! You guys are so disgusting. It stinks to death, and then leeks, fried leeks, fried leeks with eggs. Our little Chen just vomited!" There was no way, the head nurse replaced the patrolling little Chen.

"Hehe, I'm still young. The head nurse is the head nurse, so I didn't respond at all." Lao Li was a little embarrassed.

"I have rhinitis, and I can't smell it~! I can't smell it!~ Haha!" For the first time, the head nurse felt that this rhinitis is still good.

rinse! Rinse all the time! This operation is too troublesome, the breaks in the intestine must be repaired one by one. Lao Gao and Lao Li felt uncomfortable and disgusted, but Zhang Fan didn't feel well either! This smell is so sour. The smell of disinfectant in the operating room could not be suppressed at all.

The two of them uttered disgusting words desperately, but Zhang Fan had no choice but to join in again. If even the anesthetist and equipment nurse vomited, it would be troublesome. When the abdominal cavity was opened and the sour smell hit his face, Zhang Fan The left hand is pinching the back of the right hand, pinching desperately, the left hand will definitely pinch the right hand green!

Nausea only lasts for a few tens of seconds. Human tolerance is still very strong. After the first wave, you will be fine. Even if you spray this leek with yellow soup on their faces, they will not be disgusted. up!

"Nurse head, add the metronidazole file to normal saline for cleaning! First, 1,000 mL." Zhang Fan said to the head nurse.

Clean, keep cleaning! The yellow-green feces were finally cleaned up. "Change gloves!"

After changing his gloves, Zhang Fan poured salt water into his abdomen, submerged his intestines, and said to the head nurse, "Nurse head, use nitrogen gas."

"You will bully your sister!" The head nurse said to Zhang Fan deliberately coquettishly.

"It's not Dr. Zhang giving you nitrogen gas! You can't be called a bully!" Lao Li started driving.

"Damn!" The head nurse gave Lao Li a white look, and the director joked with the head nurse, because they were all about the same age, and these directors had to keep a little face when facing the young nurse.

There are too many places where the intestines are punctured, and it is necessary to observe the air leakage in that place like popping a balloon! How to play it, simple! It is a plastic nozzle like a tire for a car. After inserting the chrysanthemum, it starts to pump air into the intestinal tract slowly.

This treatment method does not have any major sequelae, but there is a lot of fart after the operation, and if it is more serious, it seems to be continuous like shooting a cannon. And sometimes, there may be hiccups within a few days after the operation, or some kind of full hiccups with the smell of stool!

"Close!" Zhang Fan saw a bubbling place. Then start sewing.

"open!"

"close!"

Repeatedly, finally the bubbles disappeared.

"Okay, head nurse, remove it." Zhang Fan said to the head nurse after confirming again.

"Hey, how miserable, full of holes!" Lao Li said sympathetically.

"This is okay, the steel pick is not thick, I think the old Wang next door will be in trouble. A tree branch is not a steel pick!" said the head nurse.

As soon as I said this, the scene became cold. No one paid any attention to her, and she also felt that something was wrong, so she hurriedly took the gauze to wipe the sweat of the doctors.

After the abdomen is cleared, start closing the abdomen. "Doctor Wang, help close the abdomen." Zhang Fan said to the attending doctor outside the chest.

"it is good."

Under normal circumstances, Zhang Fan would not hand over the operation to others, but he couldn't do it today. He had to speed up the operation, because he still wanted to see which operation was performed next door.

No matter how the family is, no matter how the patient is, these are not important. When a doctor puts on a white coat, he must shut down his emotions and speak with professionalism. No matter who the other party is, no matter how high or low, no matter how big or small, you must go all out.

It is a great trust that patients can put their lives in your hands. Please cherish this trust. In this era where money is paramount, this trust is extremely precious!

If the chest is not serious, Zhang Fan is going to have surgery in advance and go to the next door to have a look.

The abdominal incision was closed with the attending outside the chest. Zhang Fan, Lao Gao, and Lao Li are already preparing to open their chests.

As for Lao Wang next door, this will be really absurd. Scalp numbness. After opening the abdomen, the little girl's stomach was not as disgusting as that of Lao Yang next door. The little girl didn't eat at night, so she drank beer, and in order to lose weight, she didn't eat much on weekdays, so her intestines were fairly clean.

What made Lao Wang numb was that the little girl's intestines were rotten. The branch is not a steel bar, the steel bar is thin and straight, even if it penetrates the body, it is just a cross-section.

And this tree branch is troublesome, too troublesome, several intestines have been inserted and eroded, bleeding is not the most troublesome thing.

The most troublesome thing now is intestinal necrosis! This is the case in several places, vaguely, the intestinal tract is a bit blue, which is because the blood cannot return and the color of the intestinal tract becomes heavier.

"Xiao Li, go and see what step Zhang Fan and the others have made." Lao Wang didn't dare to do anything, he said to the itinerant nurse. Because if the little girl's operation was performed according to conventional methods, there would hardly be much intestinal tract preserved. Performing the operation according to the conventional method becomes a typical perfect operation, and the person dies!

This time is not the time to talk about face or medical status! Lao Wang is ready to ask for help!

"Head nurse, Director Wang asked me to ask what step Dr. Zhang has made in their operation."

"What's wrong next door?" Before the head nurse could speak, Zhang Fan immediately raised his head and asked.

"Intestinal damage is serious, Director Wang asked me to come here and ask."

Zhang Fan, who was already in a hurry, became even more anxious. This is not about Zhang Fan showing off his abilities. He has to do as much as he can. Let’s not let go of the system given by God. First of all, this is a matter of human life. You must use as much force as you can. There is nothing to say. This is the doctor! A well-qualified doctor will do this, regardless of whether there is a system or not.

Open the chest, Lao Yang's life is great, but the ribs are severely broken, and there is nothing wrong with the lungs and heart! The luck of the misfortunes!

"Director, I'm leaving!" Zhang Fan stopped and said to Lao Gao and Lao Li.

"Let's go! I guess Old Wang is in big trouble!" Lao Gao said.

Zhang Fan didn't talk nonsense and stepped off the stage directly. Take off the surgical gown on the lower side. This is a polluted operation, and you must wash your hands again. Just as Zhang Fan took off his gloves with both hands and grabbed the laces of the surgical gown, the Wannian silent system made a sound!

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